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Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2018

Guide to fees for Wound Care 2018

 

COMPENSATION FUND GUIDE TO FEES FOR WOUND CARE 2018

 

Code

Service Description

2018 Tariffs

 

88002

Per 60 minutes. First assessment of the patient and the wound.

During this I hour assessment, full history of the patient is taken:

- Current use of medication
- Patients with other underlying metabolic diseases
- HIV positive patients & those taking immunosuppressant drugs
- Severely injured patients, ICU, Oncology patients and those with PMB conditions
- Patients with infected wounds, swabs or tissue samples to be taken to the laboratory for culture and sensitivity
- need for referral to other appropriate team members, physiotherapists, dieticians, psychologists, occupational therapists is established
- Education on healthy lifestyle and good nutrition
- Training & education in elevation of injured limbs is also covered
- Patient education on wound healing and nutrition

596.38

88001

Per 30 minutes. This assessment code to be used only with first consultation in healthy patients with minimal factors which may influence healing.

All of the above applies, i.e. history, medication, education.

298.19

88041

Per 30 minutes. Wound treatment for complicated wound or potentially complicated wound in patient with underlying metabolic diseases. Patients requiring compression bandaging, sharp debridement, bio mechanical debridement, off loading, will also be billed on this code. Ongoing wound assessment and education with every visit.

313.48

88411

additional time - for additional 15 minutes

84.11

88042

Per 30 minutes. Wound treatment without complications, no sharp debridement, no bio mechanical debridement, no compression therapy or off loading will be billed on this code. Ongoing wound assessment and education with every visit.

168.21

880421

Code for additional time for additional 15 minutes

84.11

88040

Per 30 minutes. This code should be used for assessing suture lines in uncomplicated patients. No additional time should be allocated to this code.

129.98

88020

Per specimen. This included correct collection of material,swab or tissue, completion of documentation and speedy delivery to laboratory. Ensuring copies of reports to relevant team members are received and acted upon.

84.11

88049

Emergency/ Urgent/ unplanned treatment

168.21

88046

Per Ankle Brachial Pressure Index (ABPI). Involves testing systolic blood pressure on both arms and both legs with a hand held Doppler. Interpretation of results will determine if patient requires referral to vascular surgeon and if compression bandaging is suitable.

204.80

88047

Trans cutaneous Oxygen pressure (TcPO2). Measured by a trans cutaneous oxymeter. This measures the oxygen pressure in and around injured tissue, also used in lower limb assessment where arterial incompetence is suspected. Accurate indicator arterial disease and expected would healing.

428.17

88301

Cost of material and special medicine used in treatment. Charges for medicine used in treatment not to exceed the retail Ethical Price List

 

 

Skin closure strips
Fast setting bandages
Dressings
Micropore
Wound plast
Orthopaedic wool bandage
Surgical tape
Stockinette
Ribbon Gauze
Cotton wool
Crepe bandage
Elastic adhesive bandage
Zinc oxide adhesive plaster
Absorbent gauze and gauze swabs
Elastoplast
Cleaning/infusion solution
Dressing tray
Ointment
Gloves
Face mask
Protective sheet
Protective apron